NEPHROLOGY CLINIC PC


Address: 3116 Willet Dr, Laramie, WY 82072
Phone: 9704937733

NEPHROLOGY CLINIC PC (NPI# 1316120991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316120991
Entity Type Organization
Organization Name NEPHROLOGY CLINIC PC
Other Organization Name THE NEPHROLOGY CLINIC
Practice Address 3116 Willet Dr
Laramie
WY 82072
Mailing Address 1600 Specht Point Rd
Suite 127
Ft Collins
CO 80525-4311
Practice Telephone 9704937733
Practice Fax Number 9704938745
Mailing Telephone 9704937733
Mailing Fax Number 9704938745
Enumeration Date 2007-12-06
Last Update Date 2020-10-19
Authorized Official Name TOBEY MIKULA (PRACTICE ADMINISTRATOR)
Authorized Official Telephone 9704937733
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities
Y 207RN0300X Internal Medicine
Specialization: Nephrology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
The Nephrology Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1346872843 Nephrology Clinic PC Clinic/Center 8229 W 20th St, Greeley, CO 80634-3040 2020-02-12
1023640513 Nephrology Clinic PC Clinic/Center 2988 Ginnala Dr, Loveland, CO 80538-2701 2020-02-12
1467084939 Nephrology Clinic PC Clinic/Center 1600 Specht Point Rd Ste 127, Fort Collins, CO 80525-4311 2020-02-12
1235761735 Nephrology Clinic PC Clinic/Center 620 Iris Dr, Sterling, CO 80751-4716 2020-02-12
1497387997 Nephrology Clinic PC Clinic/Center 1000 Lincoln St, Fort Morgan, CO 80701-3290 2020-02-12
1942297742 Nephrology Clinic PC Internal Medicine 1600 Specht Point Rd, Suite 127, Ft Collins, CO 80525-4311 2005-10-05

Office Location

Street Address 3116 WILLET DR
City LARAMIE
State WY
Zip Code 82072

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629688924 Colby Wolf 16th & Gibbon, Department 3414, Laramie, WY 82072 2020-08-03
1871947341 Curran Quast Case Manager/Care Coordinator 1465 N 4th St Ste 111, Laramie, WY 82072 2016-04-20
1184030827 David Hokanson Dentist 352 N. 4th Street, Laramie, WY 82072 2014-07-02
1356673297 Aaron Lozano Counselor 1465 N. 4th Street #119, Laramie, WY 82072 2010-02-03
1407181092 Maureen K. Johnson Inc In Home Supportive Care 2010 Reynolds H280, Laramie, WY 82072 2009-10-15
1851410682 Laramie Reproductive Health Public Health or Welfare 1252 N 22nd St Suite A, Laramie, WY 82072 2007-03-29
1942345327 Fike Chiropractic Pain Relief Chiropractor 1267 N 15th St, Suite 123b, Laramie, WY 82072 2007-02-21
1336215441 Laramie Pediatrics Internal Medicine Internal Medicine 1252 North 22nd St, Ste B, Laramie, WY 82072 2006-11-28
1407939218 Ark Regional Services, Inc Occupational Therapist 1150 N 3rd Street, Laramie, WY 82072 2006-10-23
1235219189 Shaun S Shafer Md PC Specialist 204 Mccollum Drive #201, Laramie, WY 82072 2006-10-16
Find all providers in zip 82072

Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780633610 Timothy C Govaerts Internal Medicine 2710 Harney St Ste 200, Laramie, WY 82072-2899 2006-05-08
1306461108 Snowy Range Kidney Care LLC Internal Medicine 2710 Harney St Ste 200, Laramie, WY 82072-2899 2020-06-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891726626 Robert Neuwirth Internal Medicine 501 S. Burma Ave, Gillette, WY 82716 2006-07-06
1780686188 Eric Sawyers Internal Medicine 419 S Washington St Ste 102a, Casper, WY 82601-2951 2005-08-15
1851809842 Campbell County Hospital District Internal Medicine 501 S Burma Ave, Gillette, WY 82716-3426 2018-01-12
1639455090 Rahul N Pawar Internal Medicine 1180 College Dr, Rock Springs, WY 82901-5863 2011-10-31
1710086558 Robert Travis Neff Internal Medicine 419 S Washington St, Suite 102, Casper, WY 82601-2951 2006-09-21
1699878884 Wyoming Nephrology & Hypertension, PC Internal Medicine 1141 Wilkins Cir, Casper, WY 82601-1332 2006-09-06
1740264357 Ageselaos John Meares Internal Medicine 2301 House Ave, Suite 201, Cheyenne, WY 82001-3176 2005-12-06
1629063094 Jean A Halpern Internal Medicine 2301 House Ave, Ste 201, Cheyenne, WY 82001-3176 2005-09-13

Competitor

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City LARAMIE
Zip Code 82072

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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